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 Within the template, write a 4- to 6-page scholarly paper that includes the following:

• Title
• Introduction that explains an authentic problem or issue that could be the focus of your Practicum Project. This includes a brief rationale for your selected focus that incorporates references from the literature, specialization standards, regulatory standards, and/or other sources you have used to validate this project.
• Goal statement with two or three measurable project objectives. A goal statement identifies what you expect to accomplish, the focus area, and the population. It introduces the project and conveys, in broad terms, how you plan to solve a particular problem or issue. Project objectives delineate your strategy for reaching the goal and the steps you will follow to complete the project. You must include two or three measurable objectives that use Application-level or higher verbs from Bloom’s Taxonomy.
• Evidence-based review of the literature for project justification. This review provides evidence-based support for your identified problem, project methods, and evaluation. The literature should be directed toward justifying the project, not focus on potential solutions. You must include a review of your specialization’s professional-practice standards and guidelines related to your project and a minimum of five (5) scholarly references for this section of the paper.
• The project methodology, methods, and theories that are appropriate for your project, including an explanation of why they will be valuable to use. This section addresses in detail how you will accomplish the project objectives. Include, as relevant, the who, when, where, and how of each objective.
• The resources you need to complete the project. Identify and justify the human, physical, and/or technical resources you will need. Note that for this assignment, you do not have to address the financial aspects of your plan.
• A formative and summative evaluation that will evaluate your Practicum Project. This details what the evaluations will measure and what information you can gain from that. Explain how you will use the evaluation results and how you will determine if the project is proceeding as planned.
• Timeline. Create a graphic timeline representing significant stages of your project. Provide a narrative to help your Faculty SME understand the timeline. Include the timeline in an Appendix to your Practicum Project Plan.
• References. References should be formatted in APA style and reflect current nursing/health literature (i.e., published within the past 5 years).

See instruction below, please keep turnitin score to 0% or less than 10%, No grammar error. Only use scholarly articles within the last 5 years.

Architect Daniel Libeskind is credited with saying “To provide meaningful architecture is not to parody history, but to articulate it.” The suggestion is that his work does not copy the efforts of others but relies on it.

Understanding the work of others is critically important to new work. Contributions to the nursing body of knowledge can happen when you are able to analyze and articulate the efforts of previous research. Research analysis skills are therefore critical tools for your toolbox.

In this Assignment, you will locate relevant existing research. You also will analyze this research using a tool helpful for analysis.

To Prepare:

• Reflect on the strategies presented in the Resources this Module’s Learning Resources in support of locating and analyzing research.
• Use the Walden Library to identify and read one peer-reviewed research article focused on a topic in your specialty field that interests you.
• Review the article you selected and reflect on the professional practice use of theories/concepts described by the article.

The Assignment:

Using the “Module 4 | Part 4” section of your Academic Success and Professional Development Plan Template presented in the Resources, conduct an analysis of the elements of the research article you identified. Be sure to include the following:

• Your topic of interest.
• A correctly formatted APA citation of the article you selected, along with link or search details.
• Identify a professional practice use of the theories/concepts presented in the article.
• Analysis of the article using the “Research Analysis Matrix” section of the template
• Write a 1-paragraph justification stating whether you would recommend this article to inform professional practice.
• Write a 2- to 3-paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following:
  • Describe your approach to identifying and analyzing peer-reviewed research.
  • Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research.
  • Identify at least one resource you intend to use in the future to find peer-reviewed research.

value based care

SOAP Note

Patient Initials:           RA Pt. Encounter Number: 1

Date: 10/1/20 Age: 23 Sex: female

Allergies:    NKA                                                                              Advanced Directives:      none

SUBJECTIVE

CC: “I have been having heavy periods for 4-5 months now. I feel tired and dizzy most days”

HPI: 23-year-old came to the clinic today complaining of heavy menstrual periods happening for the past 4 to 5 months. Accompanying the heavy flow, patient states that she has moderate cramps. Pt describes the pain as stabbing and its 3 out of the 0-10 scale. Patient does not take any medications for the pain. The pain is decreased by applying warm compresses to the lower abdominal area. In addition, patient complains of feeling dizziness and tiredness most of the times.

Current Medications: none

PMH  Medication Intolerances: NONE  Chronic Illnesses/Major traumas: NONE Screening Hx/Immunizations Hx: Vaccinations up to date, most recent pap smear 12/19 – negative  Hospitalizations/Surgeries: None

Family History:Father: Alive, No medical history Mother: Alive, Htn

Social History: Patient is a full-time college student and part time employee at Publix as cashier. Pt lives at home with parents and denies having had a sexual partner for the past year. Patient denies the use of cigars, alcohol, or illegal drugs.

ROS

GeneralDenies recent weight loss, fever, change in appetite or headaches. She denies chills or night sweats. CardiovascularDenies palpitations, chest pain, orthopnea, and claudication. Reports episodes of hypotension.

SkinDenies bruising, skin rash, or discoloration. Denies changes in moles or skin breakdown. RespiratoryDenies shortness of breath, abnormal sputum, cough, or wheezing.

EyesDenies pain, redness, loss of vision, double or blurred vision GastrointestinalDenies abdominal pain, decreased appetite, nausea, or vomiting. Denies food intolerances and changes in stool

EarsDenies ear pain, ear infections, or tinnitus Genitourinary/GynecologicalDenies dysuria, flank pain, and hematuria. Denies abnormal vaginal discharge or itching. Denies STI history. Reports heavy menstrual periods lasting 5 to 6 days, associated with cramping; every 28 days. OBSTETRIC/GYNECOLOGICAL Hx:Menarche:  11 years                       LMP: 09/15/20                       G 0 T 0 P 0 A 0 L 0               Birth Control/Type: NoneMenopause:  no                           Sexually Active: yes STD Hx:  None

Nose/Mouth/ThroatDenies nasal pain, congestion, epistaxis, or postnasal drip. Denies pain in mouth, bleeding gums, or dry mouth. Denies pain in throat, hoarseness, difficulty or painful swallowing. MusculoskeletalDenies muscle pain or joint pain. Denies limited range of motion

BreastDenies breast tenderness, discharge, redness, or lumps. NeurologicalDenies headache, dizziness, seizures, or memory loss.

Heme/Lymph/EndoPt denies bruising PsychiatricDenies mood changes, irritability, or changes in concentration. Denies having depressive ideation.

OBJECTIVE

Weight 119           BMI 21.08 Temp 98.0 BP 106/60

Height 5’3” Pulse 99 Resp 20

PHYSICAL EXAMINATION

General AppearanceCooperative, Hispanic woman, appearing in no distress, well-nourished and maintains appropriate eye contact.

SkinNo skin lesions or discoloration noted.

HEENTHead normocephalic with normal hair distribution. No lesions or masses noted. Eye: PERRLA intact, EOMs intact. Fundoscopic exam unremarkable. Ears: Tympanic membrane intact and pearly grey. Nasopharynx: no exudate, lesions, erythema, or discoloration. Mouth: Good dentition. No lesions or discoloration. Uvula midline, tonsils noted 1+.

CardiovascularS1, S2 with regular rate and rhythm. No carotid bruits. Capillary refill 2 seconds. Pulses 3+ throughout.

RespiratorySymmetric chest wall. Respirations regular and unlabored. Lungs clear to auscultation bilaterally.

GastrointestinalAbdomen soft and nontender. No mass or bruit noted. Normoactive bowel sounds present x4

BreastNo lumps or masses. No nipple retraction or discharge. No lymphadenopathy.

GenitourinaryNo bladder distention or CVA tenderness. On pelvic examination, menstrual bleeding is noted.

MusculoskeletalFull ROM, muscle strength 5/5. No crepitus, joint clicks or pain

NeurologicalCranial nerves intact. Motor and sensory intact.

PsychiatricAwake, alert, and oriented x 3, responsive to verbal and tactile stimuli.

Lab Tests80025: BLOOD COUNT; COMPLETE CBC, AUTOMATED & AUTOMATED DIFFERENTIAL WBC83540: IRON83550: IRON BINDING CAPACITY82728: FERRITIN84466: TRANSFERRIN76830: ECHOGRAPHY, TRANSVAGINAL

Diagnosis

Primary Diagnosis- D50.9 Iron Deficiency Anemia: The objective and the subjective information obtained support the suspected diagnosis for Iron Deficiency Anemia (Kocaoz, Cirpan, & Degirmencioglu, 2019). In addition, all the symptoms manifested such as the fact that she is feeling more tired than usual, abnormally heavy menses, associated with moderate to severe abdominal cramps and a family history, contribute to select this diagnosis as a final diagnosis.

Differential diagnoses:

 D25.9 Leiomyoma of Uterus, Unspecified: Benign tumors also known as fibroids. The tumors arise from the overgrowth of tissue and muscle in the uterus. Common symptoms include heavy menstruation and pelvic pain. This condition is unlikely to be the main diagnosis because the patient is not complaining of pelvic pressure (Sabry & Al-Hendy, 2019). 

soap 4.docx

 N80.1 Endometriosis of Ovary: Occurs when extra tissue outgrows to the ovaries. Common symptoms include painful periods, pain with intercourse, excessive bleeding and infertility (Alimi, Loukas, & Tubbs, 2018). 

C54.1 Malignant neoplasm of endometrium: A malignant condition that occurs when the abnormal growth of cells appear in the endometrium (Parasar, Ozcan, & Terry, 2017).  The cells can also spread to other organs. Vaginal bleeding and pain are the most common first manifestations. In this case, this condition is unlikely because the patient is having heavy bleeding associated with menstruation (Porter, 2020).  

PLAN including education Test: 

CBC, Serum iron, Transferring saturation, Total Iron-binding capacity, Serum Ferritin, Transvaginal UltrasoundMedications: None at this time until lab work is evaluated. Birth Control options discussed with patient at this time. Education: Patient was educated on safe sex practices and self-breast examination. Patient was educated to eat diet high in iron including red meat, pork and poultry, seafood, beans, dark green leafy vegetables, such as spinach, dried fruit, and raisins. Increase fluid intake. Follow up in 2 days for results.

References

 Alimi, Alimi, Y., Iwanaga, J., Loukas, M., & Tubbs, R. S. (2018). The Clinical Anatomy of Endometriosis: A Review. Cureus, 10(9), e3361. https://doi.org/10.7759/cureus.3361

Kocaoz, S., Cirpan, R., & Degirmencioglu, A. Z. (2019). The prevalence and impacts heavy menstrual bleeding on anemia, fatigue and quality of life in women of reproductive age. Pakistan journal of medical sciences, 35(2), 365–370. https://doi.org/10.12669/pjms.35.2.644

Parasar, P., Ozcan, P., & Terry, K. L. (2017). Endometriosis: Epidemiology, Diagnosis and Clinical Management. Current obstetrics and gynecology reports, 6(1), 34–41. https://doi.org/10.1007/s13669-017-0187-1

Porter S. (2020). Endometrial cancer. Seminars in oncology nursing, 18(3), 200–206. https://doi.org/10.1053/sonu.2002.34082

Sabry, M., & Al-Hendy, A. (2019). Medical treatment of uterine leiomyoma. Reproductive sciences (Thousand Oaks, Calif.), 19(4), 339–353. https://doi.org/10.1177/1933719111432867

no more than 21% plagiarims

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

1. Summary of teaching plan
2. Epidemiological rationale for topic
3. Evaluation of teaching experience
4. Community response to teaching
5. Areas of strengths and areas of improvement

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Topic

In your initial post:

1. Support or refute the following statement: “The world’s work on HIV has largely been a failure.” Include in your discussion:
   1. What has happened to incidence over time?
   2. What has happened to prevalence over time?
   3. How successful or not have efforts been at prevention in different settings?
   4. How successful have efforts been at putting people and keeping them on treatment?

Directions

In response to each topic or prompt provided by the instructor please do the following:

1. Provide a thoughtful and complete initial response that is a minimum of two to three paragraphs
2. APA format 
3. No plagiarism

Textbook : Global Health 101

4th Edition

Author: Richard Skolnik

Publisher: Jones and Bartlett Learning

Year: 2019

TOPIC CANNOT BE HEALTH ASSOCIATED INFECTIONS (HAI’s) 

1. Download the EBP Change Process form (Links to an external site.) during Week 1. The use of this specific form is REQUIRED 
2. Identify a clinical topic and related nursing practice issue you think needs to be changed. 
3. Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions.
4. Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.
5. Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review).
6. Work on a portion of the process each week, as the illustration unfolds.

Scholarly Sources and Citations

• Please cite any references (in APA format) of your systematic review or other scholarly document (optional) as needed.
• Paraphrasing information, rather than quoting, is expected. No quotes for this assignment please!

This assignment is a short introduction to thinking more about progress and understanding by thinking more deeply about using history as a source of information and rhetoric as a source of approach.

Watch the following video (it is difficult to follow and you may need to watch it more than once): https://www.ted.com/talks/steven_pinker_and_rebecca_newberger_goldstein_the_long_reach_of_reason/discussion?referrer=playlist-10_talks_you_won_t_be_able_to

In four (4) paragraphs, respond to the video with some overall thoughts and ideas in relation to the themes discussed.